Yuriko Yamamoto, Osamu Chaki and Masaki Nakayama
Diagnosis of uterine lymphoma is challenging due to its rarity and non-specific presentation. Treatment is also difficult since there is no standard treatment. We report our experience with two cases of lymphoma involving the uterus. The first patient was a 66-year-old with chief complaint of lower abdominal pain. She was diagnosed as lymphoma of the uterus by laparotomy. Chemotherapy failed and she died in the course of a year. The second patient was a 63-year-old who presented with general fatigue. Tissue biopsy and CT scan revealed lymphoma of the stomach with multiple metastases including the uterus. She was treated with chemotherapy followed by radiation therapy, but died 18 months later. Lymphoma involving the uterus is rare and diagnosis can be difficult. Clinicians should be aware of this rare disease for prompt diagnosis. Treatment should be individualized according to the condition of each patient.